Organization
MAXIM HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOWALCZYK (CONTROLLER)
(410) 910-1500
Entity
Organization
Contact information
Practice address
1 BELMONT AVE STE 800, BALA CYNWYD, PA 19004-1611
(610) 617-0366
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-1500
(410) 910-1600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007298320001
—
PA
05
—
1007298320017
—
PA
05
—
1007298320055
—
PA
Enumeration date
07/10/2006
Last updated
08/17/2022
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